Materia Medica by Kent

LYCOPODIUM

(lyc)

Lycopodium is an antipsoric, anti-syphilitic and anti-sycotic, and its sphere is broad and deep. Though classed among the inert substances, and thought to be useful only for rolling up allopathic pills, Hahnemann brought it into use and developed its power by attenuation. It is a monument to Hahnemann. It enters deep into the life, and ultimate changes in the soft tissues, blood-vessels, bones, liver, heart, joints. The tissue changes are striking; there is tendency to necrosis, abscesses, spreading ulcers and great emaciation. There is a predominance of symptoms on the RIGHTSIDE of the body, and they are likely to travel from RIGHTTOLEFT or FROMABOVEDOWNWARD, E. G., from head to chest. The patient emaciates above, especially about the neck, while the lower extremities are fairly well nourished. Externally there is SENSITIVENESSTO A WARMATMOSPHERE when there are head and spine symptoms. The head symptoms also are worse from the warmth of the bed and from heat, and worse from getting heated by exertion. The patient is sensitive to cold and there is a marked lack of vital heat, and worse in general from cold and cold air and from cold food and drinks. The pains are ameliorated from warmth except of the head and spine. Exertion aggravates the Lycopodium patient in general. He becomes puffed and distressed, and dyspnoea is increased by exertion. He cannot climb, he cannot walk fast. The cardiac symptoms are increased as well as the dyspnoea by becoming heated from exertion. The inflamed parts are sometimes relieved from the application of heat. The throat symptoms are generally relieved from the application of heat, from drinking hot tea or warm soup. The stomach pains are often RELIEVEDBYWARMDRINKS and taking warm things into the stomach. Nervous excitement and prostration are marked.

In the rheumatic pains and other sufferings the Lyc. patient is AMELIORATEDBYMOTION. He is extremely restless, must keep turning, and if there is inflammation with the aches and pains the PATIENTISBETTERFROMTHEWARMTHOFTHEBED and relieved from motion, and he will keep tossing all night. He turns and gets into a new place and thinks he can sleep, but the restlessness continues all night. He wants cool air, wants to be in a cool place with head symptoms. It is true that the headache is worse from motion enough to warm the patient up, but not from the motion itself. The headache is worse from lying down and FROMTHEWARMTHOFTHEROOM, ANDBETTERINCOLDAIRANDFROMMOTION until he has moved and exercised sufficiently to become heated, when the headache becomes worse. That is quite an important thing to remember concerning Lycopodium, because it may constitute a distinguishing feature. The head symptoms are worse from warm wraps and warm bed.

The complaints of Lyc. are likely to be worse at a fixed TIME, viz., FROMFOURTILLEIGHT O'CLOCK in the evening. An exacerbation comes on in the acute complaints and often in the chronic complaints at this time. The Lyc. chill and fever is worse at this time, and in typhoid and scarlet fever the patient is especially worse from 4-8 P.M. In gouty attacks, in rheumatic fevers, in inflammatory conditions, in pneumonia, in acute catarrhs, which are complaints especially calling for Lycopodium, it is always well to think of this remedy when there is a decisive aggravation from 4-8 P. M.

The Lycopodium patient is FLATULENT, distended like a drum, so that he can hardly breathe. The diaphragm is pushed upwards, infringing upon the lung and heart space, so that he has palpitation, faintness and dyspnoea. It is not uncommon to hear a Lycop. patient say, "Everything I eat turns into wind." After a mere mouthful he becomes flatulent and distended, so that he cannot eat any more. He says a mouthful fills him up to the throat. While the abdomen is distended he is so nervous that he cannot endure any noise. The noise of the crackling of paper, ringing of bells or slamming of doors goes through him and causes fainting, like ANT. CRUD., BORAX and NATR. MUR. These general conditions go through all complaints, acute and chronic. There is an excitable stage of the whole sensorium in which everything disturbs. Little things annoy and distress.

The Lyc. patient cannot eat oysters; they make him sick. Oysters seem to poison the Lyc. patient, just as onions are a poison to the THUJA patient. The OXALICACID patient cannot eat strawberries. If you ever have a patient get sick from eating strawberries, tomatoes or oysters, and you have no homeopathic remedies at hand, it is a good thing to remember that cheese will digest strawberries or tomatoes or oysters in a few minutes.

The SKINULCERATES. There are painful ulcers, sloughing ulcers beneath the skin, abscesses beneath the skin, cellular troubles. The chronic ulcerations are indolent with false granulations, painful, burning, stinging and smarting, often relieved by applying cooling things and aggravated by warm poultices. It is somewhat a general in Lycopodium that warm poultices and warmth ameliorates; warm applications ameliorate the pain in the knee, the suppurating condition and the gouty troubles. In an unusually warm bed, and in a warm room hives come out. The hives come out either in nodules or in long and irregular stripes, especially in the heat, and itch violently. Lyc. has eruptions upon the skin, with violent itching. Vesicles and scaly eruptions, moist eruptions and dry eruptions, furfuraceous eruptions, eruptions about the lips, behind the ears, under the wings of the nose and upon the genitals; fissured eruptions, bleeding fissures like salt rheum upon the hands. The skin becomes thick and indurated. The sites of old boils and pustules become indurated and form nodules that remain a long time. The skin looks unhealthy, and it will slough easily; wounds refuse to heal. Surface wounds suppurate as if they had contained splinters, and this suppuration burrows along under the skin. Ulcers bleed and form great quantities of thick, yellow, offensive, green pus. Chancres and chancroids often find their simillimum in Lyc.

The Lyc. state when deciphered shows feebleness throughout. A very low state of the arteries and veins, poor tone and poor circulation. Numbness in spots. Emaciation of single members. Deadness of the fingers and toes. Staggering and inability to make use of the limbs. Clumsiness and awkwardness of the limbs. Trembling of the limbs.

The MENTAL symptoms of Lyc. are numerous. He is tired. He has a tired state of the mind, a chronic fatigue, forgetfulness, aversion to undertaking anything new, aversion to appearing in any new role, aversion to his own work. Dreads lest something will happen, lest he will forget something. A continually increasing dread of appearing in public comes on, yet a horror, at times, of solitude. Often in professional men, like lawyers and ministers, who have to appear in public, there is a feeling of incompetence, a feeling of inability to undertake his task, although he has been accustomed to it for many years. A lawyer cannot think of appearing in court; he procrastinates, he delays until he is obliged to appear, because he has a fear that he will stumble, that he will make mistakes, that he will forget, and yet when he undertakes it he goes through with ease and comfort. This is a striking feature also of SILICEA. No medicines have this fear so marked as these two.

Lyc. also has a religious insanity, which has a mild and simple beginning, a matter of melancholy. This religious melancholy grows greater and greater until he sits and broods. He has very often aversion to company, and yet he dreads solitude. "Dread of men and dread of solitude; irritability and melancholy." This dread of men is not always a state of dread in women. It is a dread of people, and when that is fully carried out in the Lyc. patient you see that she dreads the presence of new persons, or the coming in of friends or visitors; she wants to be only with those that are constantly surrounding her; does not want to be entirely alone; wants to feel that there is somebody else in the house, but does not want company; does not want to be talked to, or forced to do anything; does not want to make any exertion, yet at times when forced to do so she is relieved. "Taciturnity, desires to be alone." Now, let us follow that out a little further. The taciturnity is because the patient does not want to talk, wants to keep silent, yet, as I have said already, very glad to feel there is somebody else in the house and that she is not alone. She is perfectly willing to remain in a little room by herself, so that she is practically alone, yet not in solitude. If there were two adjacent rooms in the house you would commonly find the Lyc. patient go into one and stay there, but very glad to have somebody in the other.

The Lycopodium patient often weeps in the act of receiving a friend or meeting an acquaintance. An unusual sadness with weeping comes over this patient on receiving a gift. At the slightest joy she weeps, hence we see that the Lyc. patient is a very nervous, sensitive, emotional patient. Here it is: "Sensitive, even cries when thanked."

When lying in bed suffering from the lower forms of fevers, there is delirium and even unconsciousness. He picks at imaginary things in the air, sees flies and all sorts of little things flying in the air. "Excessively merry and laughs at simplest things." A condition of insanity. "Despondent." The Lyc. patient wakes up in the morning with sadness. There is sadness and gloom. The world may come to an end, or the whole family may die, or the house may burn up. There seems to be nothing cheering, the future looks black. After moving about a while, this passes off. This state precedes conditions of insanity, and finally a suicidal state comes, an aversion to life. See how this remedy takes hold of the will and actually destroys man's will to live. That which is first in man is his desire to be, to exist, and to be something, if ever so small. When that is destroyed, we see what a wonderful thing has been destroyed. The very man himself wills then not to be. It is a perversion of everything that makes the man, the destruction of his will. "Apprehensiveness, difficult breathing and fearfulness." "Anxious thoughts as if about to die." "Want of self-confidence, indecision, timidity, resignation." Loss of confidence in himself and in everything. "Misanthropic, flies even from his own children." "Distrustful, suspicious and fault finding." "Oversensitive to pain; patient is beside himself."

Lyc. is subject to periodical headaches, and headaches connected with gastric troubles. If he goes beyond his dinner hour a sick headache will come on. He must eat with regularity or he will have the headache which he is subject to. This is somewhat like a CACTUS headache. CACTUS has a congestive headache which becomes extremely violent with flushed face if he does not eat at the regular time. One distinguishing feature is that with the Lycopodium headache, if he eats something, the headache is better while the CACTUS headache is worse from eating. Lyc. and especially PHOS. and PSORINUM have headaches with great hunger. At or about the beginning of the attack there is a faint all-gone hungry feeling which eating does not satisfy. Such is the nature of PHOSPHORUS and PSORINUM when the appetite and headache are associated. The Lycopodium headache is < from heat, from the warmth of the bed, and from lying down, > from cold, from the cold air, and from having the windows open. Lean, emaciated boys are subject to prolonged pains in the head. Every time this little fellow takes cold he has a prolonged, throbbing, congestive headache, and from day to day and from month to month he becomes more emaciated, especially about the face and neck. This same trouble is present when a narrow-chested boy has a dry, teasing cough, without expectoration, and emaciates about the neck and face. This remedy is especially suitable in these withered lads, with a dry cough or prolonged headache. In children who wither after pneumonia or bronchitis, emaciate about the face and neck, take cold on the slightest provocation, suffer with headache from being heated, have nightly headaches, and a state of congestion that affects the mind more or less, in which they rouse out of sleep in confusion. The little one screams out in sleep, awakes frightened, looks wild, does not know the father and mother, or nurse or family until after a few moments, when he seems to be able to collect his senses and then realizes where he is and lies down to sleep again. In a little while he wakes up again in a fright, looks strange and confused. That repeats itself. The headaches are throbbing and pressing, as if the head would burst; but this is not so important as the manner in which they come on, the circumstance of their cause, the things that the child does and the fact that they are better from cold, worse from noise and talking, worse from 4 to 8 P.M., and he emaciates from above downward. These are more important than the quality of the pain that the patient feels, but if he describes the quality of the pain it is spoken of as a throbbing, pressing, bursting or as a fulness.

Upon the scalp we find eruptions in patches, smooth patches with the hair off. Patches on the face and eczematous eruptions behind the ears, bleeding and oozing a watery fluid, sometimes yellowish watery. The eczema spreads from behind the ears up over the ears and to the scalp. Lycopodium is a very important remedy to study in eczema of the infant. Eczema in a lean, hungry, withering child with more or less head trouble, such as has been described, with a moist oozing behind the ears, red sand in the urine, face looking wrinkled, a dry teasing cough, in a child that kicks the covers off, a child whose left foot is cold and the other warm, with capricious appetite, eating much, with unusual hunger at times and great thirst, and yet losing steadily, will often be cured by Lyc. It will throw out a greater amount of eruption at first, but this will subside finally and the child will return to health. The head in general is closely related to one symptom, viz., red sand in the urine. As long as the red sand is plentiful, the patient is free from these congestive headaches, but when the urine becomes pale and free from the red pepper deposit, then comes the bursting, pressing headache, lasting for days. It might be said that this is a uremic headache; but it does not matter what you call it, if the symptoms are present the remedy will be justified. In old gouty constitutions, when the headache is most marked, the gout in the extremities will be > and VICEVERSA. The headache is present only in the absence of pain in the extremities. Again, when there is a copious quantity of red sand in the urine the gouty state, either in the head or extremities, will be absent, but whenever he takes cold the secretion seems to slacken up with an < of the pain. There is another feature of the Lyc. headache related to catarrhal states. The headache is < when the catarrh is slacked up by an acute cold. The Lycopodium subject often suffers from thick, yellow discharge from the nose. The nose is filled with yellow, green crusts, blown out of the nose in the morning and hawked out of the throat. Now, when the patient takes cold the thick discharge to a great extent ceases, and he commences to sneeze and has a watery discharge. Then comes on a Lyc. headache, with great suffering, with pressing pains, with hunger, and finally the coryza passes away, and the thick yellow discharge returns and the headache subsides.

We have many EYE symptoms in Lycopodium, but most prominent are the catarrhal affections of the eyes. The symptoms are so numerous they describe almost any catarrhal condition of the eyes, so that you cannot discriminate upon the eye symptoms alone. Inflammatory conditions with copious discharge, with red eyes, ulceration of the conjunctiva and lids, and granular lids.

For the EARS Lyc. becomes an important remedy, because this selfsame emaciating child, with the wrinkled countenance and dry cough, has had, since an attack of scarlet fever, a discharge from the ears, thick, yellow and offensive, with loss of hearing. If the suitable remedy be given in a case of scarlet fever, there will be no ear trouble left, because ear troubles do not necessarily belong to scarlet fever. They are not a part of scarlet fever, but are dependent on the constitutional state of the child. Lyc. has also most painful eruptions of the ears, otitis media, abscess in the ear, associated with eczema about the ears and behind the ears.

The NOSE symptoms I have only partly described in association with the head. The trouble often begins in infancy. The little infant will lie at first with a peculiar rattling breathing through the nose, and finally it will breathe only through the mouth, as the nose is obstructed. This goes on for days and months. The child breathes only through the mouth, and when it cries it has the shrill tone, such as is found when the nose is plugged up. If you look you will see the nose is filled up with a purulent matter and hanging down the throat is a muco-purulent discharge. Much stuffing up of the nose is a chronic state of Lyc. The child will go on with this trouble until it forms into great crusts, yellow, sometimes blackish, sometimes greenish, and the nose bleeds. It is most useful in those troublesome catarrhs associated with headaches; in such patients as lose flesh about the neck. It may seem strange and unaccountable that Lyc. can cause emaciation about the neck and shrivelling of the face when the lower limbs are in a very good state of preservation. In old chronic catarrhs of adults they must keep continually blowing the nose. He cannot breathe through the nose at night, as crusts form in all portions of the mucous membranes. Crusty nostrils with eczema, with oozing eruptions about the face and nose. The mucous discharge is almost as thick and tenacious as in KALIBI.

The FACE is sallow, sickly, pale, often withered, shrivelled and emaciated. In deep-seated chest troubles, bronchitis or pneumonia, where the chest is filled up with mucus, it will be seen that the face and forehead are wrinkled from pain, and that the WINGSOFTHENOSEFLAPWITHTHEEFFORTTOBREATHE. This occurs with all forms of dyspnoea. We see something like it in ANT. TART., the sooty nostrils being wide open and flapping. In ANT. TART, the rattling of the mucus is heard across the room and the patient is seen to be in distress, but if you see the patient lying in bed with the nose flapping and the forehead wrinkled, with rattling in the chest, or a dry, hacking cough and no expectoration, you will often find the particulars of the examination confirm your mind that it is a case for Lyc In the exudative stage of pneumonia, the stage of hepatization, Lyc. may save the life of that patient. It is closely related in the period of hepatization to PHOS. and SULPH. The SULPH. patient is cold; there is no tendency to reaction; he feels the load in the chest, and examination of the chest shows that hepatization is marked. He wants to lie still and is evidently about to die. SULPHUR will help him. It does not have the flapping of the nose, nor the wrinkles upon the forehead, like Lyc. In the brain complaints of STRAMONIUM the forehead wrinkles, and in the chest complaints of Lyc. the forehead wrinkles, and their wrinkles are somewhat alike. You go to a semi-conscious patient suffering from cerebral congestion and watch him; he is wild, the eyes are glassy, the forehead wrinkled and the tendency is to activity of the mind. That is not Lyc. but STRAM. By close observation these practical things will lead you to distinguish, almost instantaneously, between STRAMONIUM in its head troubles, and Lyc. in the advanced stage of pneumonia.

The face is often covered with copper-colored eruptions, such as we find in syphilis, and hence it is that Lyc. is sometimes useful in old cases of syphilis, cases which have affected the nose, with necrosis or caries of the nasal bones, and the catarrhal symptoms already described. About the face also there is much twitching. You will see by the study of the face that his face conforms to his sensations. He is an over-sensitive patient, and at every jar or. noise, such as the slamming of a door, or the ringing of a bell, he wrinkles his face. He is disturbed, and you see it expressed upon his countenance. He has a sickly wrinkled countenance, with contracted eyebrows in complaints of the abdomen as well as in chest complaints. We also see that the jaw drops as in OPIUM and MURIATICACID. This occurs in a state marked by great exhaustion and indicates a fatal tendency. It is especially marked in typhoid when the patient picks at the bed clothes, slides down in bed, wants almost nothing, and can hardly be aroused. It is the expression of the last stage of the disease, a low type of fever, typhoids, septic and zymotic diseases. Under the jaw there is often glandular swelling, swelling of the parotid and submaxillary glands. The swelling is sometimes cellular and the neck muscles are involved. The tendency is to suppuration of these glands, and swellings about the neck in scarlet fever and diphtheria.

The next important feature we notice are the THROAT symptoms. It was mentioned when going over the general state that the striking feature of Lyc. in regard to DIRECTION is that its symptoms seem to spread from right to left; we notice that the right foot is cold and the left is warm; the right knee is affected; if the pains are movable they go from right to left. Most complaints seem to travel from right to left, or to affect the right side more than the left. This is also true of sore throats; a quinsy affecting the right side will run its course, and when about finished the left tonsil will become inflamed and suppurate if the appropriate remed be not administered. The common sore throat will commence on the right side, the next day both sides will be affected, the inflammation having extended to the left side. This remedy has all kinds of pains in the throat and fauces. It is useful in cases of diphtheria when the membrane commences on the right side of the throat and spreads over towards the left. Patches will be seen one day on the right side and the next day on the left side. We have noticed also that complaints in Lyc. spread from above down, so it is with these exudations. They often commence in the upper part of the pharynx and spread down into the throat. Lyc. has cured many such cases. It is the case sometimes that Lyc. is better by holding cold water in the mouth, but the usual Lyc. sore throat is better from swallowing warm drinks. It is a feature whereby it is possible to distinguish LACHESIS from Lycopodium. LACHESIS is better from cold and has spasms of the throat from attempting to drink warm drinks, while Lyc. is better from warm drinks, though sometimes better from cold drinks. Lyc. does not sleep into the suffocation and constriction of the throat and dyspnoea as in LACH. The throat is extremely painful, it has all the violence of the worst cases of diphtheria. It has the zymosis.

The STOMACH and ABDOMINAL symptoms are intermingled. There is a sense of satiety, art entire lack of appetite. He feels so full that he cannot eat. This sense of fulness may not come on until he has swallowed a mouthful of food; he goes to the table hungry, but the first mouthful fills him up. After eating he is distended with flatus, and gets momentary relief from belching, yet he remains distended. Nausea and vomiting; gnawing pains in stomach as in gastritis; catarrh; burning in ulcers and cancer; pains immediately after eating; vomiting of bile, coffee ground vomit, black, inky vomit. Under Lyc. apparently malignant cases have their life prolonged. The case is so modified that, instead of culminating in a few months, the patient may last for years. Right hypochondrium swollen as in liver troubles. Pain in liver, recurrent bilious attacks with vomiting of bile. He is subject to gall stone colic. After Lyc. the attacks come less frequently, the bilious secretion becomes normal and the gall stones have a spongy appearance as though being dissolved. Lyc. patients are always belching; they have eructations that are sour and acrid like strong acid burning the pharynx. "Sour stomach," sour vomiting, flatus, distension and pain after eating, with a sense of fulness. Awful "goneness," or weakness, in stomach, not relieved by eating (DIGIT.). The stomach is worse BYCOLDDRINKS, ANDOFTEN relieved by warm drinks. In the stomach and intestines there is a great commotion, noisy rumbling, rolling of flatus as though fermentation were going on. Lyc., CHINA and CARLOVEG. are most flatulent remedies and should be compared. The stomach symptoms are worse or brought on from cold drinks, beer, coffee or fruit, and a diarrhoea follows. Old chronic dyspeptics, emaciated, wrinkled, tired and angular patients, everything eaten turns to wind. Lycopodium is useful in old tired patients with feeble reaction and feebleness of all the functions, with a tendency to run down and not convalesce.

This patient has most troublesome constipation. He goes for days without any desire, and although the rectum is full there is no urging. Inactivity of intestinal canal. Ineffectual urging to stool. Stool hard, difficult, small and incomplete. The first part of the stool is hard and difficult to start, but the last part is soft or thin and gushing followed by faintness and weakness. Lyc. patients have diarrhoea and all kinds of stool. So you will see from reading the text that the characteristic of Lyc. is not in the stool. Any kind of diarrhoea, if the other Lyc. symptoms are present, will be cured by Lyc. It has troublesome haemorrhoids, but they are nondescript. Any kind of haemorrhoids may be cured by Lyc. if the flatulence, the stomach symptoms, the mental symptoms, and the general symptoms of Lyc. are present, because the haemorrhoidal symptoms are numerous.

The kidneys furnish many symptoms and may be the key to Lycopodium in many instances. There seems to be the same inactivity in the bladder as in the rectum. Though he strain ever so much, he must wait a long time for the urine to pass. It is slow to flow, and flows in a feeble stream. The urine is often muddy with brick dust, or red sand deposits, or on stirring it up it looks like the sediment of fermenting cider. We find this state in febrile conditions. In acute stages of disease, where the red sand appears copiously, Lyc. is often the remedy. This is a very prominent symptom. In chronic symptoms when the patient feels best the red sand is found in the urine Lyc. has retention of urine and suppression of urine. It has "wetting of the bed" in little ones, involuntarily micturition in sleep, involuntary micturition in typhoids and low fevers. A marked feature of Lyc, and one of the most prominent of all remedies, is polyuria during the night. He must arise many times at night and pass large quantities of urine, although in the daytime the urine is normal. Enormous quantities of urine, very clear and of light specific gravity.

MALESEXUALORGANS. One of the most prominent remedies in impotency. Persons of feeble vitality, overwrought persons, overtired persons, with feeble genital organs, seldom need PHOSPHORUS, but Lycopod. is a typical remedy where the young man has abused himself by secret vices and has become tired out in his spine, brain and genital organs. If this patient makes up his mind that he will live a somewhat decent life and marries, he finds that he is impotent sexually, that he is not able to obtain erections, or that the erections are too feeble, or too short, and that he is not a man.

Lyc. has inflammation of the mucous membrane of the urethra, with a gonorrhoeal discharge. It is anti-sycotic and has troublesome fig warts upon the male and female genitals. "Moist condylomata on the penis, enlargement of the prostate gland."

It is a great friend of the woman in inflammation and neuralgia of the OVARIES, and in inflammation of the UTERUS. The neuralgia especially affects the right ovary, with a tendency to the left. Inflammation of the ovaries, when the right is more affected than the left. It has cured cystic tumors of the right ovary.

Lycopodium produces and cures dryness in the vagina in which coition becomes very painful. Burning in the vagina during and after coition. It has disturbance of menstruation. Absence or suppression of menses for many months, the patient being withered, declining, pale and sallow, becoming feeble. It seems that she has not the vitality to menstruate. It is also suitable in girls at puberty when the time for the first menstrual flow to appear has come, but it does not come. She goes on to 15, 16, 17 or 18 without development, the breasts do not enlarge, the ovaries do not perform their functions. When the symptoms agree Lyc. establishes a reaction, the breasts begin to grow, the womanly bearing begins to come, and the child becomes a woman. It has a wonderful power for developing, and in that respect it is very much like CALC. PHOS. "Discharge of flatus from the vagina." "Varices of the genitals."

In the respiratory organs Lyc. furnishes a wonderful remedy. Dyspnoea and asthmatic breathing in catarrh of the chest. The colds settle in the nose, but nearly always go into the chest, with much whistling and wheezing, and great dyspnoea. The dyspnoea is worse from walking fast, after exertion and from going up a hill. Throbbing, burning and tickling in the chest. Dry, teasing cough. DRYCOUGHINEMACIATEDBOYS. After coming out of pneumonia, the dry, teasing cough remains a long time, or there is much whistling and asthmatic breathing. The extremities are cold while the head and face are hot, with much coughing and troubles in the chest. He wants to go about with the head uncovered, because there is so much congestion in the head. This patient has a feeble reaction. There is no tendency to repair and the history of the case is that the troubles have existed since an attack of bronchitis or pneumonia. Besides the dry, teasing cough, Lyc. goes into another state in which there is ulceration, with copious expectoration of thick yellow or green muco-pus, tough and stringy. Finally night sweats, with fever in the afternoon from 4 to 8 o'clock, come on. Its use in the advanced stage of pneumonia, in the period of hepatization, with the wrinkled face and brow, the flapping wings of the nose and scanty expectoration, we have already spoken of. Then it has marked catarrh of the chest with much rattling, especially in infants. RATTLINGINTHECHEST, FLAPPINGOFTHEWINGSOFTHENOSEANDINABILITYTOEXPECTORATE. The right lung is most affected, or more likely to be affected than the left, or it is affected first in double pneumonia and troubles that go from one side to the other. Think of Lyc. among the remedies for neglected pneumonia, in difficult breathing from an accumulation of serum in the pleura and pericardium.

I have mentioned sufficiently the gouty tendencies of the limbs and the nerve symptoms. But there is a restlessness of the lower limbs which comes on when he thinks of going to sleep and this prevents sleep until midnight. Much like ARSENICUM. It is often a very distressing feature. NUMBNESSOFTHELIMBS. Drawing, tearing in the limbs at night; better by warmth of bed and motion. These pains are sometimes found in chronic intermittent fever and are cured by this remedy. Sciatica that comes on periodically, better by heat and walking. Varicose veins of the legs. One foot hot, the other cold. Oedema of the feet.

It has all manner of fevers, continued, intermittent and remittent. It is especially suitable in old age, and in premature old age, when a person at 60 years appears to be 80 years, broken down, feeble and tired. It is eminently suited in complaints of weakly constitutions. It is suitable in various dropsies, associated with liver and heart affections. Scabs remain upon the skin, do not separate; they crust over and the crust does not fall, or may become laminated like rupia. SULPHUR, GRAPH, and CALC. are not longer acting or deeper acting than Lyc. These substances that seem to be so inert in their crude form come out strongest when potentized and form medicines of wonderful use.